Errors in fluid therapy in medical wards

Mousavi, Maryam; Khalili, Hossein; Dashti‐Khavidaki, Simin

doi:10.1007/s11096-012-9620-8

Cited by 22 publications

(21 citation statements)

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“…Of the 15 studies on administration error, only 2 (13.33%) provided specific definitions for administration errors [20,32]. Three studies out of 6 (50%) on prescribing error used specific definitions [16,20,22]. Definitions for transcribing error were provided in two out of 3 studies (66.7%) [25,32].…”

Section: Resultsmentioning

confidence: 99%

“…Three studies reported findings on severity of MEs [16,22,32]. For categorizing MEs and determining the severity of them, 2 studies used National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP) Index [16,32]; the other one used definitions and leveling provided by Hartwig, Denger, and Schneider [22].…”

Section: Resultsmentioning

confidence: 99%

“…Mousavi et al . investigated fluid therapy errors in medical wards; they found that the most common type of error was wrong rate of fluid administration (29.8%) in severity categories D (45.5%), C (44.8%), and E (7.9%) [16]. …”

Section: Resultsmentioning

confidence: 99%

“…Detection of prescribing errors is usually done by pharmacists or clinical pharmacists, especially in the hospital settings [16,20,22]. But, currently there are just few practicing clinical pharmacists in Iranian hospitals and medical wards [20].…”

Section: Discussionmentioning

confidence: 99%

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Types and severity of medication errors in Iran; a review of the current literature

et al. 2013

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Medication error (ME) is the most common single preventable cause of adverse drug events which negatively affects patient safety. ME prevalence is a valuable safety indicator in healthcare system. Inadequate studies on ME, shortage of high-quality studies and wide variations in estimations from developing countries including Iran, decreases the reliability of ME evaluations. In order to clarify the status of MEs, we aimed to review current available literature on this subject from Iran. We searched Scopus, Web of Science, PubMed, CINAHL, EBSCOHOST and also Persian databases (IranMedex, and SID) up to October 2012 to find studies on adults and children about prescription, transcription, dispensing, and administration errors. Two authors independently selected and one of them reviewed and extracted data for types, definitions and severity of MEs. The results were classified based on different stages of drug delivery process. Eighteen articles (11 Persian and 7 English) were included in our review. All study designs were cross-sectional and conducted in hospital settings. Nursing staff and students were the most frequent populations under observation (12 studies; 66.7%). Most of studies did not report the overall frequency of MEs aside from ME types. Most of studies (15; 83.3%) reported prevalence of administration errors between 14.3%-70.0%. Prescribing error prevalence ranged from 29.8%-47.8%. The prevalence of dispensing and transcribing errors were from 11.3%-33.6% and 10.0%-51.8% respectively. We did not find any follow up or repeated studies. Only three studies reported findings on severity of MEs. The most reported types of and the highest percentages for any type of ME in Iran were administration errors. Studying ME in Iran is a new area considering the duration and number of publications. Wide ranges of estimations for MEs in different stages may be because of the poor quality of studies with diversity in definitions, methods, and populations. For gaining better insights into ME in Iran, we suggest studying sources, underreporting of, and preventive measures for MEs.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Types and severity of medication errors in Iran; a review of the current literature

et al. 2013

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“…8 Inappropriate intravenous fluid management is common and known to contribute to a significant proportion of iatrogenic morbidities and mortalities. 1,3,4,6,9 This is especially important in patients with reduced physiological reserves, including elderly patients and those with cardiac or renal failure. 6,10–12 Despite the clear importance of appropriate intravenous fluid prescription, such practice is often left to be undertaken by the most junior doctors in the hospitals, such as the FY1s in the UK.…”

Section: Discussionmentioning

confidence: 99%

Intravenous fluid prescribing practices by foundation year one doctors – a questionnaire study

2012

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ObjectivesFoundation Year Ones (FY1s) are the most junior doctors in the UK who are often required to prescribe intravenous fluid to patients not under their regular care, during on-call or out-of-hours ward cover. This study aimed to investigate FY1s’ practice and decision-making process of intravenous fluid prescribing to these patients.DesignQuestionnaire survey.SettingSurvey on Practices during on-calls and out-of-hours ward covers.ParticipantsFY1s of five National Health Service (NHS) hospitals in England and Scotland.ResultsAll 149 FY1s responded to survey. Eighty-six percent have been taught intravenous fluid prescribing during medical school, compared with only 48% in FY1 induction. More than half always/often checked the patient's urea and electrolytes (U&Es) (72%), read the fluid balance (58%) and observation charts (80%), discussed the case with nursing staff (75%), enquired about oral status (82%), identified the main diagnosis/operation (75%) and indication for intravenous fluid (72%) of the patient when prescribing intravenous fluid. However, less than half often/always read the medical notes (43%) or performed clinical examinations on patients (16%). Most FY1s (94%) always/often checked patient's U&Es when prescribing potassium.ConclusionsThe questionnaire study demonstrated variations among FY1s in the practice and decision-making process of intravenous fluid prescribing to patients unknown to them, during on-calls or out-of-hours ward covers. Such variations in practice should be addressed especially by medical and foundation schools, and NHS hospitals to improve patient care.

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Intravenous Fluid Administration

Corbett¹,

Dharmarajan²

2021

Geriatric Gastroenterology

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Errors in fluid therapy in medical wards

Cited by 22 publications

References 21 publications

Types and severity of medication errors in Iran; a review of the current literature

Types and severity of medication errors in Iran; a review of the current literature

Intravenous fluid prescribing practices by foundation year one doctors – a questionnaire study

Intravenous Fluid Administration

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